Physician
Ammar Ghanem MD PLLC
Ammar Ghanem MD PLLC was paid $207K by Medicaid between Aug 2018 and Oct 2024, across 10 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 50% of everything it billed.
33Billing provider infoAMMAR GHANEM MD PLLC
ROCHESTER HILLS, MI 48307
ROCHESTER HILLS, MI 48307
33aNPI1346790896assigned 10/08/2016
33bProvider typePulmonary Disease Physician
28Total paid$207K
24GClaims5,891
24DCodes billed10
24AFirst – last monthAug 2018 – Oct 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Michigan
Rank by total paid#25 of 63
Median peer was paid$118K
This provider vs. median1.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 343 | $16K | |
| 2019 | 725 | $13K | |
| 2020 | 877 | $17K | |
| 2021 | 1,716 | $46K | |
| 2022 | 1,147 | $48K | |
| 2023 | 613 | $39K | |
| 2024incomplete | 470 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 50% | 1,913 | 794 | $103K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 23% | 443 | 197 | $47K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 13% | 447 | 441 | $27K |
| 99223 | Prolong inpt eval add15 m | 8.6% | 188 | 185 | $18K |
| 94060 | 1.6% | 424 | 416 | $3K | |
| 94726 | 1.6% | 368 | 367 | $3K | |
| 94729 | 1.5% | 392 | 390 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 26 | 26 | $2K |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 819 | 804 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 871 | 856 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGHANEM, AMMAR (OWNER)